患有膀和肠道功能障碍的儿科患者中以前未被诊断的精神症状组的患病率
Andrew E MacNeily1, Kourosh Afshar1, Valerie Hogues1
1Division of Pediatric Urology, BC Children's Hospital. UBC Department of Urologic Sciences. 4480 Oak St, Vancouver, British Columbia, V6H 3V4, Canada.
Journal of pediatric urology
|October 20, 2023
概括
这项研究发现,大多数患有膀和肠道功能障碍 (BBD) 的儿童有未诊断的精神疾病,包括内化和外化症状. 对这些并发症的早期查可以改善BBD治疗结果.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 儿童精神病学 儿童精神病学
- 行为科学 行为科学
背景情况:
- 与此同时出现的精神疾病在患有膀和肠道功能障碍 (BBD) 的儿童中比一般人群更为常见.
- 识别和管理这些并发症可能会改善泌尿器科的结果.
研究的目的:
- 确定未被诊断的精神病症状组合在患有BBD的儿童中的患病率.
- 评估验证的查工具对儿科BBD患者精神伴随性疾病的实用性.
主要方法:
- 连续的儿科患者 (6-18岁) 患有BBD并且没有先前的精神病诊断被招募.
- 儿童行为检查清单 (CBCL) 和自闭症谱系系数 (AQ-10) 用于查.
- 统计分析比较了症状得分和BBD严重程度与精神症状之间的相关性.
主要成果:
- 72%的患者至少有一个边界/临床CBCL亚标分数.
- 观察到内部化 (64%) 和外部化 (42%) 症状的高患病率.
- 在8%的患者中发现了自闭症特征 (AQ-10 ≥6).
结论:
- 儿科BBD患者表现出高患病率的未被诊断的精神病并发症.
- 建议泌尿科医生使用经过验证的工具对这些疾病进行查.
- 早期识别和管理可以改善BBD治疗,减少不必要的泌尿器科干预.
相关概念视频
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
167
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
167
Disorders of the Urinary System
328
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
328
Diagnostic and Statistical Manual of Mental Disorders (DSM)
59
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
59
Chronic Bowel Disorders: Introduction
459
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
459
Irritable Bowel Syndrome I: Introduction
284
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
284
Oppositional Defiant Disorder
28
A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Diagnostic Criteria and...
28


